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AboutChinese MedicineCaution/Notes
Health Benefits |
For: |
Atributes: |
Products |
Granules |
Tea Pills |
Granules |
Caplets |
Other Names: |
Category: Warm Interior Expel Cold ⌕ |
Subcategory: Devastated Yang Source: Shang Han Lun |
Actions: Rescues devastated yang, warms the middle jiao, and stops diarrhea [31] |
Diagnosis |
Tongue: pale body, white coat Pulse: thin, submerged Other: |
Patterns: Devastated Yang |
Indications: Cold extremities, sleepy, lassitude, pale tongue with white coating, thin faint pulse. Heart & Kidney yang exhaustion and collapse: Yang exhaustion fails to warm (cold limbs, aversion to cold, sleep with knee draw up). Heart yang exhaustion leads to Shen lack of nourishment (sleepy). Kidney deficiency affects Spleen, fire fails to generate earth (diarrhea with undigested food). Cold coagulation ,qi stagnation (vomiting, cold pain in abdomen) • T: pale tongue body with white coating, P: thin, submerged
[31] |
Contraindications: |
Description |
Name Variations: Si Ni Tang, 四逆汤, Four Counterflow Decoction, |
Herb List: Fu Zi(K) • Gan Jiang(M) • Gan Cao(A) |
Commentary: |
Related Formulas: |
Herbs |
Cat/Dosage |
Actions |
Attributes |
Chai Hu • Thorowax • 柴胡 ♠ |
Release Exterior Wind Heat
9g |
Harmonize interior and exterior • Reduce fevers • Reduce chills • Soothe liver Qi • Clear muscle layer heat • Tonify stomach Qi • Guide herbs to Shao Yang Jing |
Antibiotic • Antipyretic • Anti-inflammatory • Antibaterial • Antiviral • Analgesic • Hepatoprotective • Immunemodulatory • Chemoprotective • Anti-tumor • Cholagogic • Sedative • Immunostimulate |
Dang Gui • Chinese Angelica • 当归 ♥ |
Tonify Blood
9g |
Tonify blood • Move Blood and Qi • Regulate menses • Invigorate blood • Dispel cold • Unblock bowels • Reduce abscess swelling • Alleviate pain • Clear pus • Generate flesh • Moisten intestines |
phytoestrogen • antispasmodic • cholagogue • antibaterial • antiviral • antiobesity • anti-inflammatory • antifungal • mild laxative • immune system boost |
Bai Shao • White Root Peony • 白芍 ♥ |
Tonify Blood
9g |
Nourish blood • Regulate menses • Soothes liver • Relieve pain • Preserve yin • Reduce spasms • Harmonize Ying and Wei Qi |
analgesic • antibacterial • anti-inflammatory • hepatoprotective • immune system boost • sedative |
Fu Ling • Poria Mushroom • 茯苓 ♣ |
Drain Dampness
9g |
Dry dampness • Tonify spleen • Calm spirit • Relief edema • Detox food poisoning • Promote urination Dao Di: Yun Nan |
Diuretic • Antibacterial • Anti-inflammatory • Anti-allergic • Hypoglycemic • Antacid • Sedative • Immunity booster |
Bo He • Field Mint • 薄荷 ♦ |
Release Exterior Wind Heat
3g |
Clear eyes • Dispel wind heat • Ease sore throat • Expel turbid filth • Resolve toxicity • Reduce rashes • Clear liver Qi stagnation • Drain stomach damp heat • Release exterior • Calm liver yang • Nourish lung yin |
Anti-inflammatory • Antipyretic • Diaphoretic • Carminative • Antiandrogenic • Antiemetic • Antidiarrheal • Analgesic • Anticholesterol • Antidiabetic • Antimicrobial • Gastrointestinal • Emmenagogue • Increase local blood circulation • Decongestant |
Sheng Jiang • Ginger (Raw) • 生姜♦ |
Release Exterior Wind Cold
3g |
Release exterior • Stops vomiting • Relieve Nausea • Stops cough • Reduce herb toxicity • Regulate central flow of Qi |
Expectorant • Cough Suppressant • Digestive • Hypotensive • Antiplatelet • Stimulant • Analgesic • Anti-inflammatory • Antipyretic • Cholagogic • Antiemetic • Antimutagenic |
Zhi Gan Cao • Licorice Root • 甘草 ♣ |
Tonify Qi
6g |
Tonify Spleen Qi • Tonify Heart qi • Clear heat • Resolve toxicity • Stop cough • Dispel phlegm • Lubricate lungs • Stop wheezing • Reduce spasm • Relieve pain • Harmonize other herb effects |
Hypoglycemic • Antiarrhythmic • Expectorant • Antidiarrheal • Antiulcer • Hepatoprotective • Immunostimulant • Antitussive • Antiviral • Detox • Demulcent • Anti-inflammatory • Laxative • Emmenagogue • Antimicrobial • Spasmolytic • Corticosteroidal |
Bai Zhu • White Atractylodes Root • 白术 ♣ |
Tonify Qi
9g |
Tonify Spleen Qi • Stop sweating • Calms fetus • Dry dampness • Stabilize exterior • Stop sweating |
Anti-inflammatory • Hepatoprotective • Immunity Booster • Hypoglycemic • Antibaterial |
♠ King/Chief ♥ Minister/Deputy ♣ Assistant ♦ Envoy |
Directions: |
Modifications |
For |
+ Jin Yin Hua + Guan Zhong |
Vaginal discharge |
– Zhi Gan Cao +Wang Bu Liu Xing + Jin Xue Teng + Dan Shen + Xiang Fu |
Fibrocystic breast disease |
– Bai Zhu +Xiang Fu |
Severe hypochondriac pain |
+ Mu Dan Pi + Yu Jin +San Leng |
Severe fixed pain from blood stasis |
– Wei Jiang – Bo He + Xiang Fu + Fo Shou + Dan Shen + Dang Shen |
Fatigued, poor appetite |
+ Hai Piao Xiao + Mu Li |
Enlarged liver and spleen |
+ Ji Xue Teng + Xiang Fu + Ze Lan + Chuan Xiong |
Irregular Menses 31 |
+ Sheng Di Huang + Xiang Fu + Chuan Xiong + Yan Hu Suo + Chuan Lian Zi |
Dysmenorrhea 31 |
+ Ju Luo + Qing Pi + Xia Ku Cao + Mu Li |
Breast distention, breast tumor 31 |
+ Kidney tonifying herbs |
Emotional menopause syndrome 31 |
Caution |
ALERT: Contraindications of each herb - use with caution under these conditions:
Chai Hu: Dries Yin and can exacerbate the Yin deficiency • Do not use as intramuscular injections • Liver fire • Hyperactive liver yang • Cytochrome P450, 2C9, 2E1, 2D6, and 3A4 • Greater than 19g may lead to liver injury
Dang Gui: Autoimmune disorder • Pregnancy • Blood thinner drugs (Wafarin) • Diarrhea • Yin deficiency with heat • Dampness abdominal distention
Bai Shao: Deficiency cold • Breast feeding • Pregnancy • Bleeding Disorder • Scheduled Surgery
Fu Ling: Foods: Vinegar, pickled food
Gan Cao: High blood pressure • Low potassium • Seaweed • Medications: Gan Cao can interact with various medication. See Pharma Interaction section.
Bai Zhu: Autoimmune disorder • Yin deficiency with heat • Dehydration • Foods: black carp, Chinese cabbage, peach, plum and coriander |
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